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The Pamphlet Collection of Sir Robert Stout: Volume 43

United States of America, ____District of____ ss

United States of America, ____District of____ ss.

I, ____clerk of the district court of the United States, for said ____district of____do____hereby certify the above and foregoing to be a true, correct, and complete copy of an order entered of record in said court on the____day of____A. D. 187____, in the matter of_____in bankruptcy, as appears from the records of said court now in my custody.

In Testimony Whereof, I have hereunto set my hand and affixed the seal of said court, at my office in____, in said [Seal.] district, this____day of ____A. D. 187____

____ Clerk. [The notice to be sent to the creditor is a copy of the above order.]